FA822211G0001_______UN71.pdf

ORDER FOR SUPPLIES OR SERVICES J

1. CONTRACT/PURCH ORDER/AGREEMENT NO.

FA8222-11-G-0001

2. DELIVERY ORDER/CALL NO.

FA8222-11-G-0001-UN71

3. DATE OF ORDER/CALL

(YYYYMMMDD)

17 OCT 2013

4. REQUISITION/PURCH REQUEST NO.

FD20301301351 01

5. PRIORITY

DO: A1

6. ISSUED BY CODE

DLA AVIATION AT OKLAHOMA CITY, OK

DLR PROCUREMENT OPERATIONS (AO)

3001 STAFF DRIVE

TINKER AFB OK 73145-3070

BUYER: Robin Adee/DLA-AOAA robin.adee@tinker.af.mil

Phone: (405) 734- 1947 No Collect Calls

7. ADMINISTERED BY (If other than 6) CODE

DCMA PHOENIX

TWO RENAISSANCE SQUARE

40 NORTH CENTRAL AVE SUITE 400

PHOENIX AZ 85004-4400

(602)594-7800 DSN 261-6800

SPRTA1 8. DELIVERY FOB

DESTINATION

OTHER

(See Schedule if other)

X

9. CONTRACTOR CODE FACILITY

HONEYWELL INTERNATIONAL INC.

DBA: HONEYWELL

AEROSPACE - TEMPE (AFTERMARKET CONT

1300 WEST WARNER ROAD

TEMPE AZ 85284-2822

UNITED STATES

(800) 601-3099 Attn: NANCY LUNA EMail Address: Nancy.Luna@Honeywell.com

02LU7 59364 10. DELIVER TO FOB POINT BY (Date)

(YYYYMMMDD)

SEE SCHEDULE

12. DISCOUNT TERMS

NET 30 DAYS

11. X IF BUSINESS IS

SMALL

SMALL

DISAD-VANTAGED

WOMEN-OWNED

13. MAIL INVOICES TO

SEE BLK 15

14. SHIP TO CODE

SEE LINE ITEM SCHEDULE

15. PAYMENT WILL BE MADE BY CODE

(SEE ESP CLAUSE 252.232-7003.)

DFAS - COLUMBUS CENTER

DFAS-CO/WEST ENTITLEMENT OPERATIONS

P O BOX 182381

COLUMBUS OH 43218-2381

(800)756-4571

HQ0339

MARK ALL

PACKAGES AND

PAPERS WITH

IDENTIFICATION

NUMBERS IN

BLOCKS 1 AND 2.

16.

TYPE

OF

ORDER

DELIVERY/

CALL

PURCHASE

X This delivery order/call is issued on another Government agency or in accordance with and subject to terms and conditions of above numbered contract.

Reference your 322336 Dated: 24 JUL 2013 furnish the following terms specified herein.

NAME OF CONTRACTOR SIGNATURE TYPED NAME AND TITLE DATE SIGNED

If this box is marked, supplier must sign Acceptance and return the following number of copies: (YYYYMMMDD)

18.

ITEM NO.

19.

SCHEDULE OF SUPPLIES/SERVICES

(SEE SCHEDULE)

20. QUANTITY

ORDERED/

ACCEPTED*

21.

UNIT

22.

UNIT PRICE

23.

AMOUNT

FMS REQUIREMENT

S P A R E S R E Q U I R E M E N T --Accelerated & consolidated deliveries are acceptable.

--Clause 252.211-7003 is applicable if the vendor quoted per-unit price is $5,000 or greater.

--New manufacture is solicited

* If quantity accepted by the Government is same as quantity ordered, indicate by X. If different, enter actual quantity accepted below quantity ordered and encircle.

24. UNITED STATES OF AMERICA

BY: Albert P Long

CONTRACTING/ORDERING OFFICER 17 -OCT -2013

25. $ 51,582.50

26.

DIFFERENCES

27a. QUANTITY IN COLUMN 20 HAS BEEN:

INSPECTED RECEIVED ACCEPTED, AND CONFORMS TO

THE CONTRACT EXCEPT AS NOTED:

28. SHIP. NO.

PARTIAL

FINAL

29. D.O. VOUCHER NO.

36. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT.

31. PAYMENT

COMPLETE

PARTIAL

FINAL

32. PAID BY

30.

INITIALS

33. AMOUNT VERIFIED CORRECT FOR

34. CHECK NUMBER

35. BILL OF LADING NO.

37. RECEIVED AT 38. RECEIVED BY (Print) 39. DATE RECEIVED

(YYYYMMMDD)

40. TOTAL CONTAINERS 41. S/R ACCOUNT NUMBER 42. S/R VOUCHER NO.

DD FORM 1155, DEC 2001 PREVIOUS EDITION IS OBSOLETE

17. ACCOUNTING AND APPROPRIATION DATA/LOCAL USE

SEE SCHEDULE

S0302A

SCD:B

ACCEPTANCE. THE CONTRACTOR HEREBY ACCEPTS THE OFFER REPRESENTED BY THE NUMBERED PURCHASE ORDER AS IT MAY PREVIOUSLY HAVE BEEN OR IS NOW MODIFIED, SUBJECT TO ALL OF THE TERMS AND CONDITIONS SET FORTH, AND AGREES TO PERFORM THE SAME.

b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE c. DATE

(YYYYMMMDD)

d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

f. TELEPHONE NUMBER g. E-MAIL ADDRESS

a. DATE

(YYYYMMMDD)

b. SIGNATURE AND TITLE OF CONTRACTING OFFICER

//Electronically Signed// Total

Basic Ordering Agreement Order FA8222-11-G-0001-UN71

SUPPLIES OR SERVICES AND PRICES/COSTS

UID REQUIREMENT: The Government does not intend to tell contractors the specific data to be put into each mark. International Standards and MIL-STD-130L provide the guidance needed by the contractor to determine what information is required within the mark and acceptable formats for applying the mark. It is the contractor's discretion on which UID construct to use according to current business practices. Still, "The preferred format for Unique Identification (UID) is Construct 2 (Issuing Agency Code, Enterprise Identification [CAGE Code], Original Part Number, and Serial Number) as set forth by MIL-STD-130L (or later revision) and the DOD Guide to Uniquely Identifying Items, version 1.4, April 2004 (or later revision). UID shall be in addition to the original Human Readable Information and applied using comparable marking methods. Application of UID markings shall in no way compromise the integrity of the item."

NEW MANUFACTURE

Item No.

Firm Fixed Price Quantity U/I Unit Price Amount

10 EA $5,158.2500 $51,582.50

CLIN ACRN ACRN Total

0001 AA $51,582.50

NSN: 4810-01-482-4911 TP

VALVE,BUTTERFLY

Creates hot air to prevent ice on the leading.

Aluminum, steel and various materials.

Manufacturer Part Number 59364 3290290-2-3 Associated Document(s) Line Item(s)

F3YTBK3119B012

FD20301301351 01 0001

FD20301301351 01 0002

FD20301301351 01 0003

Priority: E

Limitations of Liability: Other Than High Value Item

Inspection: Origin Address Code: 59364 Acceptance: Origin Inspection/Acceptance Report: WAWF Quality Assurance: Standard Inspection Applicability: C-130 Aircraft Avionics Modernization Program ;

Foreign Military Sales Buy American Act/Balance of Payments Program

Transportation From Continental United States CONUS (CONUS) Sources

TYPE / SHIP TO CODE F.O.B.

* DJA008 ORIGIN

Class I ODS Substance Application/Use Quantity

NONE NONE N/A

Type / Ship To PACRN Mark For

* DJA008 PAA DJAG00

* DJA008 PAA DJAG00

* DJA008 PAA DJAG00

Type / Ship To Quantity (U/I) On or Before Req No / Pri

NEW MANUFACTURE

Required Delivery

* DJA008 3 EA 31 AUG 2014 DJAG5V23462002 / PRI:

* DJA008 4 EA 31 AUG 2014 DJAG5V23462004 / PRI:

* DJA008 3 EA 31 AUG 2014 DJAG5V23462003 / PRI:

SHIP TO (FOREIGN MILITARY SALES)

TYPE/CODE: * DJA008

SUPPLEMENTAL ADDRESS CODE: DA8KCQ

FMS CASE CODE/LOA: JA-D-KCQ/001

MAPAC SHIP TO CODE: DJA008

MAPAC MARK FOR: DJAG00

REQUISITION NUMBER: (See Individual Line Item) REQUISITION PRIORITY: (See Individual Line Item)

AWARD NUMBER: FA8222-11-G-0001-UN71

CONTRACT CLAUSES

252.211-7003 ITEM IDENTIFICATION AND VALUATION (JUN 2013)

(IAW DFARS 211.274-6(a)(1), DFARS 212.301(f)(vi))

(a) Definitions. As used in this clause—

“DoD recognized unique identification equivalent” means a unique identification method that is in commercial use and has been recognized by DoD. All DoD recognized unique identification equivalents are listed at http://www.acq.osd.mil/dpap/pdi/uid/iuid/equivalents.html .

“Unique item identifier type” means a designator to indicate which method of uniquely identifying a part has been used. The current list of accepted unique item identifier types is maintained at http://www.acq.osd.mil/dpap/pdi/uid/uii_types.html .

(c) Unique item identifier.

(1) The Contractor shall provide a unique item identifier for the following:

(i) All delivered items for which the Government’s unit acquisition cost is $5,000 or more.

(ii) The following items for which the Government’s unit acquisition cost is less than $5,000:

Contract Line, Subline, or Exhibit Line Item Number

Item Description

*Items less than $5000, which require UID, will be specifically identified in the schedule.

See Schedule as Applicable

(iii) Subassemblies, components, and parts embedded within delivered items as specified in Attachment Number (See Schedule as Applicable).

(f) The Contractor shall submit the information required by paragraphs (d) and (e) of this clause in accordance with the data submission procedures at http://www.acq.osd.mil/dpap/pdi/uid/data_submission_information.html .

BILLING INSTRUCTIONS:

Remittance Address:

Bank One 1 Bank One Plaza Depositor ACCT NO 59-34389 Routing NO 071000013 Chicago IL 60670

ACCOUNTING AND APPROPRIATION DATA (AUG 1998)

Accounting and Appropriation Chargeable ACRN Funds Citation Amount Chargeable

AA 9711X8242 .0002 4F X 47 5W CKCQJA 000000 00000 001000 503000 F03000 $51,582.50

REFERENCE:

SDN: F3YTBK3119B012 FSR: 066779 PSR: C22552 DSR: 022307

ACRN TOTAL $ 51,582.50

INSPECTION AND ACCEPTANCE (SEP 1999)

(IAW FAR 46.401(b), FAR 46.503)

Government Contract Quality Assurance Inspection and Acceptance will be at (Final):

Item No(s): See schedule for items with the following code(s) listed below :

Inspection Code and Address:

59364

HONEYWELL INTL INC

ENGINES & SYSTEMS

ENGINE SYSTEMS & ACCESSORIES (ESA)

1300 WEST WARNER ROAD

TEMPE, AZ 85285

F.O.B. ORIGIN (OCT 1993)

(IAW FAR 47.305(b)) Any supply item applicable to this document shall be delivered F.O.B. at:

F.O.B. Address:

59364

HONEYWELL INTL INC

ENGINE SYSTEMS & ACCESSORIES (ESA)

1300 WEST WARNER ROAD

TEMPE, AZ 85285

COMMERCIAL BILL OF LADING SHIPMENTS – CARRIER’S RATES

The Contractor shall ensure that proposed carrier’s rates are equal to or better than rates available to the Government. Contact the transportation officer for this contract, as identified by the Administrative Contracting Officer, for confirmation that the proposed carrier’s rates are no higher than those otherwise available to the Government. List the shipping costs on the invoice to the Government and attach a copy of the carrier’s billing.

Failure to properly annotate the invoice and provide a copy of the carrier’s billing may result in those costs not being reimbursed or only partially reimbursed.

TRANSPORTATION APPROPRIATION CHARGEABLE

The Transportation Allotment Identification (TAI) relates directly to the above ACRN(s). For example the TAI “TAA” is the same line item(s) as ACRN AA.

FMS TRANSPORTATION ALLOTMENT SHALL BE USED ONLY WHEN SHIPMENT ON GOVERNMENT BILL OF

LADING IS AUTHORIZED

Insert 3 if movement via surface mode or 2 if movement via airlift in place of any “#” shown.

Insert last digit of current fiscal year in place of any asterisk “*” shown when material is shipped.

TAI ATAC FMS ALLOTMENT / NOTE

TAA 97-11X8242.LO09 8401 JA-D-KCQ GBL: S843000

LIST OF DOCUMENTS, EXHIBITS OR ATTACHMENTS

Form Number Description/File Name Date Number of Pages AFMC 158 PKGRQMT_REPORT.pdf 12MAR2013 2

DD FORM 1653 TRNSPDATA_REPORT.pdf 13MAR2013 4